18 or Older
RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS
ASSUMPTION OF RISKS, AND HOLD HARMLESS AGREEMENT
In consideration of participating in the educational field trip to ___________________________,
located in __________________________ (the “Field Trip”), offered as part of the course curriculum to
University of Florida students enrolled in ___________________________ during the _________
semester of 200___, I hereby agree as follows:
I, _____________________________, for myself and my estate, heirs, administrators, executors,
and assigns, hereby release and hold harmless the State of Florida, the Florida Board of Education, the
University of Florida Board of Trustees, and their officers, directors, employees, representatives, agents,
and volunteers (collectively, the “Releasees”), from any and all liability and responsibility whatsoever,
however caused, for any and all damages, claims, or causes of action that I, my estate, heirs,
administrators, executors, or assigns may have for any loss, illness, personal injury, death, or property
damage arising out of, connected with, or in any manner pertaining to the Field Trip, WHETHER
CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise.
I fully understand that there are potential risks and hazards associated with the Field Trip and its
related travel, including, but not limited to, possible injury or loss of life. Despite the potential risks and
hazards associated with the Field Trip, I wish to proceed, and freely accept and assume all risks and
hazards that may arise from my participation in the Field Trip and that could result in loss, illness,
personal injury, death, or property damage, WHETHER CAUSED BY THE NEGLIGENCE OF
RELEASEES or otherwise.
I further hereby agree to indemnify and hold harmless the Releasees from any judgment,
settlement, loss, liability, damage, or costs, including court costs and attorney fees for both the trial and
appellate levels, that Releasees may incur as a proximate result of any negligent or deliberate act or
omission on my part during my participation in the Field Trip.
In signing this agreement, I acknowledge and represent that I have read and understand it; that I
sign it voluntarily and for full and adequate consideration, fully intending to be bound by the same; and
that I am at least eighteen (18) years of age and fully competent.
I HAVE READ THIS AGREEMENT, UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND VOLUNTARILY AGREE TO BE BOUND BY IT.
NAME (PRINTED)
SIGNATURE
DATE
WITNESS (PRINTED)
WITNESS SIGNATURE
DATE